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STADIUM PHARMACY
NPI 1013062090
Pharmacy - Community/Retail Pharmacy in Independence, MO

Active since January 23, 2007
4811 S ARROWHEAD DR, INDEPENDENCE, MO 64055(816) 356-4600(816) 353-7296 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stadium Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STADIUM PHARMACY (NPI 1013062090) is a healthcare organization registered as a community/retail pharmacy in Independence, Missouri and active in the NPI registry since January 2007. The organization lists Vikranth Anneboina, Member, as its authorized official.

NPPES Registry Identity

NPI1013062090
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameIVNA MEDICAL GROUP LLC
Location Address4811 S ARROWHEAD DRIndependence, MO 64055-6981
Mailing Address4811 S Arrowhead DrIndependence, MO 64055-6981 · (816) 356-4600 · Fax (816) 353-7296
Phone(816) 356-4600
Fax(816) 353-7296
Organization SubpartNo
Authorized OfficialVikranth AnneboinaMember · (816) 356-4600
Enumeration DateJanuary 23, 2007
Last NPPES UpdateApril 28, 2017
✔ NPI 1013062090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 2016039188
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
4811 S ARROWHEAD DR, Independence, MO 64055
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Other Names 1

Doing Business AsStadium Pharmacy

Other Identifiers 2

Other2166225Pk
Medicaid605454206MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PALLAVI PONNA RPH
Pharmacist
4811 S ARROWHEAD DR
INDEPENDENCE, MO 64055
Jackson County (816) 356-4600
DR. THOMAS R DOWD MD
Obstetrics & Gynecology (Gynecology)
4811 S ARROWHEAD DR
INDEPENDENCE, MO 64055
Jackson County (816) 356-5000
DR. ANTHONY J. GUNN M.D.
Family Medicine
4811 S ARROWHEAD DR
INDEPENDENCE, MO 64055
Jackson County (816) 356-5000
DR. LOUIS STIASZNY M.D.
Pediatrics
4811 S ARROWHEAD DR
INDEPENDENCE, MO 64055
Jackson County (816) 356-5000
GRACE ALMA ALBANO MD
Internal Medicine
4811 S ARROWHEAD DR
INDEPENDENCE, MO 64055
Jackson County (816) 356-5000
KHANH X NGUYEN M.D.
Internal Medicine
4811 S ARROWHEAD DR
INDEPENDENCE, MO 64055
Jackson County (816) 356-5000
FOOT SPECIALISTS OF KANSAS CITY, P.A.
Podiatrist
4811 S ARROWHEAD DR
INDEPENDENCE, MO 64055
Jackson County (816) 356-5000
AMI KAVI EDWARDS MD
Family Medicine
4811 S ARROWHEAD DR
INDEPENDENCE, MO 64055
Jackson County (816) 356-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivna Medical Group LLC's NPI number?

The NPI number for Ivna Medical Group LLC is 1013062090. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Stadium Pharmacy.

Where is Ivna Medical Group LLC located?

Ivna Medical Group LLC is located at 4811 S Arrowhead Dr, Independence, MO 64055. The listed phone number is (816) 356-4600.

What is Ivna Medical Group LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Ivna Medical Group LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 49 other insurers list Ivna Medical Group LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivna Medical Group LLC was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.